Lyndsey Wilson
Individual provider Active NPI Family Nurse Practitioner · Spencer, IN
NPI 1417495672 · NPPES record last updated Dec 28, 2020
Key facts
- NPI
- 1417495672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71006887A (IN)
- Practice address
- 9 N Crane Ave
Spencer, IN 47460-1507 - Phone
- (812) 829-2237
- Fax
- (812) 829-6342
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Health Southern Indiana Physicians LLC
Iu Health Medical Group LLC
Practice addresses (Care Compare)
1302 S Rogers St
Bloomington, IN 47403-4752
Phone (888) 484-3258
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2209 John R Wooden Dr
Indiana University So in Phy Inc
Martinsville, IN 46151-1840
Phone (888) 484-3258
707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
926 W State Hwy 46
Iu Health Southern Indiana Physcia
Spencer, IN 47460-6749
Phone (888) 484-3258
Hospital & facility affiliations
- Elara Caring
- Amedisys Home Health
- Indiana University Health Bloomington Hospital
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170227001037 | IN | Practitioner - Nurse Practitioner | 5799069373 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Family | Current |
Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
926 W State Highway 46
Spencer, IN 47460
Phone (812) 829-2237
Interoperability endpoints
- lwilson16@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006887A | IN | Yes |
Addresses
Primary practice location
9 N Crane Ave
Spencer, IN 47460-1507
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 829-2237
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LWILSON16@direct.iuhealth.org |
Other providers in Spencer, IN
- Michelle Marie Webster
- Barbara Diane G Wells
- Lindsey Whaley
- William D Kenfield DDS LLC
- Kathy Wilson
- Jason Woods
- Karina Zehr
All providers in Spencer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.